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ESF #8

ESF #8. Public Health and Medical Services. Objectives. Describe the overall purpose and scope of ESF #8. Identify the supplemental assistance ESF #8 provides to State, tribal, and local governments. Identify typical activities accomplished by ESF #8 resources.

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ESF #8

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  1. ESF #8 Public Health and MedicalServices

  2. Objectives Describe the overall purpose and scope of ESF #8. Identify the supplemental assistance ESF #8 provides to State, tribal, and local governments. Identify typical activities accomplished by ESF #8 resources. Describe the types of partnerships formed between ESF #8 and other response agencies and organizations.

  3. Introductions Tell us: • Your name. • Your role in emergency management. • What you hope to gain from this course.

  4. National Response Framework (NRF) • Establishes a comprehensive, national, all-hazards approach to domestic incident response. • Presents an overview of key response principles, roles, and structures that guide the national response. • Includes Core Document, Annexes, and Partner Guides.

  5. Emergency Support Functions (ESFs) ESFs are: The primary operational-level mechanism to provide assistance. Organized around functional capabilities (e.g., emergency management, transportation, search and rescue, etc.).

  6. ESF General Duties Commit agency assets. Approve and implement mission assignments. Maintain situational awareness and report on ESF operations. Represent agency on task forces and ad hoc groups. Serve as technical experts.

  7. ESF Structure Primary Agencies ESF Coordinator Support Agencies

  8. ESF Coordinator Pre-incident planning and coordination Ongoing contact with primary and support agencies Coordination with private-sector organizations Preparedness planning and exercises

  9. Primary and Support Agencies Primary Agency: Federal agency with significant authorities, resources, or capabilities for a particular function within an ESF. Support Agency: Assists the primary agency by providing resources and capabilities in a given functional area.

  10. Activation of ESFs Not every incident requires the activation of ESFs. ESFs may be selectively activated for: Stafford Act Emergency and Major Disaster Declarations. Non-Stafford Act incidents as specified in Homeland Security Presidential Directive 5 (HSPD-5). ESF deployment must be coordinated, even if under the agency’s own authority!

  11. Emergency Support Functions ESF #1 – Transportation ESF #2 – Communications ESF #3 – Public Works and Engineering ESF #4 – Firefighting ESF #5 – Emergency Management ESF #6 – Mass Care, Emergency Assistance, Housing, and Human Services ESF #7 – Logistics Management and Resource Support ESF #8 – Public Health and Medical Services ESF #9 – Search and Rescue ESF #10 – Oil and Hazardous Materials Response ESF #11 – Agriculture and Natural Resources ESF #12 – Energy ESF #13 – Public Safety and Security ESF #14 – Long-Term Community Recovery ESF #15 – External Affairs

  12. Public Health and Medical Services Following an incident, what health concerns do communities face?

  13. ESF #8: Purpose ESF #8 provides for coordinated Federal assistance in response to a: • Public health and medical disaster or emergency (e.g., pandemic flu outbreak, bioterrorism attack). • Natural disaster (e.g., flood, hurricane, earthquake).  See page 1 of the Annex.

  14. ESF #8: Scope • ESF #8 addresses disaster medical needs associated with: • Mental health • Behavioral health • Substance abuse considerations • At-risk and special-needs populations • Veterinary and/or animal health issues

  15. ESF #8 Coordinator and Primary Agency As the Federal ESF #8 lead, HHS: Requests activation and deployment of appropriate resources. Assists and supports State, tribal, and local officials. Coordinates public health and medical support, patient evacuation, and movement requirements. Assures food safety/security with the Food and Drug Administration.  See pages 9-10 of the Annex.

  16. ESF #8 Support Agencies (1 of 2) • A number of Federal agencies serve as ESF #8 partners. Among them: • Department of Defenseprovides patient transport to nearby non-Federal and VA hospitals and DOD facilities. • Department of Agriculture addresses public health matters related to animal diseases and food safety.  See pages 10-15 of the Annex.

  17. ESF #8 Support Agencies (2 of 2) • Department of Energy conducts monitoring and decontamination for radiological emergencies. • Department of Justice provides victim identification, coordinated through the FBI. • Department of Labor works to ensure the health of emergency workers.

  18. ESF #8 Actions (1 of 2) • ESF #8 provides for: • Public health and medical needs assessment • Public health surveillance • Medical care personnel deployment • Medical equipment and supplies distribution • Patient evacuation and care • Safety and security  See pages 4-8 of the Annex.

  19. ESF #8 Actions (2 of 2) • ESF #8 also addresses: • Blood, organ, and blood tissue needs • Behavioral health care • Public health and medical information • Vector control • Mass fatality management • Veterinary medical support • Public health aspects of potable water/wastewater and solid waste

  20. Discussion Questions What are examples of activities within the scope of ESF #8? What are examples of activities outside the scope of ESF #8?

  21. Concept of Operations • Upon activation, ESF #8 staff deploy to the: • Domestic Readiness Group • National Operations Center • National Response Coordination Center • Regional Response Coordination Center/Joint Field Office • National/regional teams • Joint Information Center • Other operations centers as required by the mission  See page 3 of the Annex.

  22. National Disaster Medical System (NDMS) • The NDMS: • Delivers medical care to domestic disaster victims and responders. • Provides a single, integrated national medical response capability for assisting State and local authorities. • Is comprised of teams staffed by agency personnel and private citizens with specialized training and expertise.

  23. NDMS Teams • NDMS includes the following teams: • Disaster Medical Assistance Teams • National Medical Response Teams • Disaster Mortuary Operational Response Teams • Family Assistance Center Team • National Nurse Response Teams • National Veterinary Response Teams • National Pharmacy Response Teams

  24. Public Health Service Teams • The Public Health Service Commissioned Corps is comprised of uniformed members of the: • Incident Response Coordination Team • Applied Public Health Team • Mental Health Teams • Rapid Deployment Force

  25. Strategic National Stockpile • The Strategic National Stockpile contains Push Packages, which are: • Designed to protect the American public if local medical supplies run out. • Caches of pharmaceuticals, antidotes, and medical supplies. • Positioned in strategically located, secure warehouses for delivery within 12 hours.

  26. Knowledge Review and Summary • Instructions: • Answer the review questions on the next page in your Student Manual. • Be prepared to share your answers with the class in 5 minutes. • If you need clarification on any of the material presented in this course, be sure to ask your instructors.

  27. Taking the Exam Instructions: Take a few moments to review your Student Manuals and identify any questions. Make sure that you get all of your questions answered prior to beginning the final test. When taking the test . . . Read each item carefully. Circle your answer on the test. Check your work and transfer your answers to the computer-scan (bubble) answer sheet or enter the answers online. You may refer to your Student Manuals and the Annex when completing this test.

  28. Feedback Please complete the course evaluation form. Your comments are important!

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